OhioPHP 2019 Annual Report : simplebooklet.com

2Medical Director MessageI am pleased to report on OPHP’s acvity from 2019. It was my rst year serving as the Medical Director and a very impacul year for our organizaon. We connued to experience growth as we focused on implemenng the One-Bite Program and our collaboraons with state and local health organizaons. In 2019, OPHP was approved by the State to serve as the monitoring organizaon responsible for determining eligibility and administering the One-Bite Program. The One-Bite Program is a condenal program now available to all of the Medical Board’s licensees. Through this program, licensees who seek treatment for a substance use disorder may do so condenally without the involvement of the Medical Board. OPHP received more referrals than ever before from colleagues, aorneys, hospitals, and others. We were also able to surpass our fundraising goal to help support the increase in services provided to the medical community.We welcomed new members to both our Board of Trustees and sta. Longme Medical Director of OPHP, David Goldberg, D.O., rered in June. We welcomed new Case Manager, Dawn M. Riegel, MS, LPC, LCDC III. We also added two new posions: Micah D. Wright, CDCA, as our Clinical Coordinator and Colleen M. Opremcak MD, MS, FAPA, as our Wellness Director. Dr. David Goldberg from Dayton was selected to join the Board. As a member of the Ohio Physician Wellness Coalion (OPWC), part one of the rst series of wellness videos was launched, oering one hour of free connuing medical educaon (CME) credit for each module. These videos cover topics such as mental health, isolaon, gratude, and meditaon and mindfulness. The OPWC plans to launch part two of the wellness video series in 2020.2019 was a year of development and growth for OPHP. The work we do is only possible with the generous support of our loyal donors and many stakeholders. We at OPHP look forward to serving Ohio’s medical community and thank you for your connued support.Respecully,Craig T. Pra, M.D., DFASAM, FAPAMedical Director

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3ChairChrisna M. Delos Reyes, M.D., FASAMCleveland, OhioVice ChairSybil K. Marsh, M.D., FASAMCleveland, OhioTreasurer/SecretarySteven W. Crawford, M.D., MBA, FACOGBeavercreek, OhioDirectorsCraig W. Anderson, M.D.Columbus, OhioCraig A. Brown, MAPSalem, OhioMelinda E. Ford, D.O., FACOFPAthens, OhioDavid D. Goldberg, D.O.Dayton, OhioJonathan A. Good, D.O.Hudson, OhioJerey L. Hunter, MSc, D.C., D.O., FAAFP, FACHEColumbus, OhioTimothy L. Kolb, D.V.M.Columbus, OhioGregory J. Nixon, O.D., FAAOColumbus, OhioTheresa C. Novak, M.Ed, PCC-S, CWCParma, OhioChristopher C. Phillips, M.D., CPE, FACS, FCCP, FACCMaumee, OhioJames D. Smith, M.D., FACSYoungstown, OhioMahew A. Vail, M.D., MPHDublin, OhioThank youOPHP’s Board of Trustees and sta wish to thank everyone who contributed to the 2019 annual campaign. Because of your nancial support, OPHP is able to advance the health and wellness of medical professionals who are then beer able to deliver consistent, quality care to Ohio’s paents. We hope that you will connue to promote and support our mission. For the complete list of 2019 donors visit: www.ophp.org.2019 Board of Trustees

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4To Our StakeholdersThe Ohio Physicians Health Program (OPHP) is proud to provide you with an overview of acvity for 2019. We connue our eorts to provide a compassionate, supporve, and safe environment for healthcare professionals to receive condenal services to improve their health and well-being. Through our reless eorts, we aim to encourage early intervenon and treatment, desgmaze substance use and mental health disorders, and improve the health and well-being of healthcare professionals. We believe that healthy praconers provide beer care to Ohio’s paents. OPHP connues to oer three primary programs. • Condenal Resource: OPHP serves as a condenal resource that assists with idencaon, intervenon, and referral for assessment or treatment of physicians and other healthcare professionals who may be aected by mental, emoonal and behavioral illness, substance-related and addicve disorders, or other issues. • Monitoring and Advocacy Services: OPHP specializes in providing condenal monitoring and advocacy for qualifying physicians and other healthcare professionals. OPHP also provides monitoring and advocacy to healthcare professionals who have formal acon with licensing agencies. • Educaonal Outreach Programs: OPHP provides educaonal presentaons to individuals or groups throughout Ohio. Presentaons are delivered on the prevenon of mental, emoonal and behavioral illness and substance-related and addicve disorders. Programs also cover the topics of stress, burnout, and suicide; statutory guidelines on seeking treatment for mental health and substance use disorders; and the role of OPHP in the healthcare community. Presentaons meet the criteria for connuing medical educaon credit.Aer years of working with the State Medical Board of Ohio (SMBO) and our many stakeholders to improve the process for licensees of the SMBO to access condenal treatment, the new “One-Bite Program” was ocially launched in 2019. OPHP was selected by the State as the organizaon responsible for determining eligibility and conducng the One-Bite Program. The One-Bite Program allows an eligible individual who is impaired due to substance use disorder to avoid formal disciplinary acon by the Medical Board when certain condions exist. As the monitoring organizaon for the One-Bite Program, we also provide monthly educaonal seminars for the approved treatment and connuing care providers. We have been busy in this new role, receiving 121 referrals during the rst year of the new One-Bite Program and are looking forward to connuing to improve the program.OPHP’s major source of funding is the Ohio Medical Quality Foundaon (OMQF) and we are honored and grateful for their connued support. To be good stewards of OMQF’s funding, accurate budgeng, regular oversight of expenditures, internal controls, and improving eciency connue to be priories for the organizaon.As the Board of Trustees expands and diversies, we will connue to pursue growth and opportunies to promote OPHP’s programs and to support the health and wellness of healthcare professionals in Ohio. We hope we can connue to count on your support of Ohio’s healthcare professionals.

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5 Grants & Donations (64%) Other (19%) Program Fees (17%)2019 marked the rst year of our new 2019-2021 strategic plan. The three priories idened in the plan are:Outreach & Engagement: In 2019, we increased awareness of OPHP programs, the One-Bite Program, improved online presence and outreach by ulizing social media plaorms and increased subscribers to our electronic newsleers. We also improved educaon on stress/burnout, mental health and substance use disorders. Programs: In 2019, we maintained current programs and implemented new programs to increase the impact of OPHP on Ohio’s medical community. We promoted educaonal outreach programs to medical schools and residency programs. We built new programming and collaboraons with prominent organizaons in Ohio’s medical community – including the Ohio Physician Wellness Coalion. Government Relaons: In 2019, we implemented a strong government relaons eort to advocate for the health and wellness of Ohio’s healthcare professionals, and we collaborated with the Medical Associaon Coalion and other stakeholders to implement the new condenal One-Bite Program.In addion to these three priories, there were two focus areas outlined in the strategic plan; Board Governance, which OPHP connues to focus on expanding and diversifying the Board of Trustees and to develop eecve training to support Board performance and engagement. The second area of focus is Development, which focused on expanding fund development eorts and to generate new funding sources in order to support new and exisng programs as well as nancial sustainability. As reected in the chart to the right, 64% of OPHP’s operang budget was from grants and donaons. 80.5% of 2019 funconal expenses were for programs and services.Revenue SourcesFunctional Expenses Program Services (80.5%) Management & General (12%) Fundraising (7.5%)Strategic Plan

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6OPHP’s condenal resource program allows us to assist health care professionals who may be aected by mental, emoonal and behavioral illness, and substance-related and addicve disorders.OPHP provides referrals to community resources for: stress, burnout, individual psychotherapy, family and marriage counseling, ethics training, legal counsel, skills assessment, and others.Referrals are accepted from any source and OPHP protects the condenality of program parcipants and anonymity of referral sources to the fullest extent allowed by law.HIGHLIGHTS290 referrals were received in 201950% of referrals were from self-referrals or from hospitals, employers, or colleagues. Self Referral (25.86%) Treatment Facility (16.55%) Regulatory Board (14.14%) Colleague (13.45%) Hospital/Employer (10.34%) Other (7.59%) PHP (5.86%) Legal (4.14%) Family (2.07%)Referral SourcesCondenal Resource

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8OPHP’s monitoring and advocacy program provides services including: documentaon of recovery meengs, treatment and aercare plans, toxicology tesng, volunteer peer monitors, therapeuc feedback, and providing clinical oversight through face-to-face visits. Praconers have access to these services aer successful compleon of treatment for mental health and/or substance use disorders or others.OPHP provides advocacy for program parcipants to help document their recovery and compliance in the monitoring and advocacy program to regulatory boards, employers, insurance companies, and others. Physician (56.19%) Resident/Student (12.39%) Denst/Dental Hygienist/EFDA (9.73%) Vet/Vet Tech (8.41%) Other (6.64%) PA/AA/RCP (5.31%) Optometrist (.88%) Chiropractor (.44%) Monitoring Agreements by ProfessionMonitoring & Advocacy Program

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10OPHP provides educaonal outreach programs to individuals or groups throughout Ohio. Presentaons on the prevenon are delivered as well as the role of mental, emoonal and behavioral illness, substance-related and addicve disorders, stress, burnout, and suicide; statutory guidelines for medical professionals; and the role of OPHP in the healthcare community.OPHP presented to:1,025 ATTENDEES through 27 programs98% of aendees AGREED to apply the informaon they gained from the educaonal outreach program!Speaker was knowledgeableSpeaker communicated eecvelyNew informaon was providedInformaon will be applied99%99%98%98%Educaonal Outreach ProgramsPrograms about OPHP and the One-Bite Program are delivered by our Clinical Director, Nelson Heise, PCC-S, LICDC-CS and programs about Physician Wellness and Mindfulness are delivered by Colleen Opremcak, M.D., MS, FAPA. On page 11, please nd a lisng of the educaonal outreach programs delivered in 2019.The chart listed here reects outcomes from surveys issued to program aendees evaluang the eecveness of our educaonal outreach programs.

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Licking Memorial Health Systems Newark, OhioUniversity of Findlay Findlay, OhioUH Cleveland Case Medical Center Cleveland, OhioColumbus Bar Assoicaon Columbus, OhioAll-Ohio Instute on Community Psychiatry Columbus, OhioFirelands Regional Medical Center Sandusky, OhioDayton Dental Associaon Dayton, OhioOSU College of Veterinary Medicine Columbus, OhioKent State College of Podiatric Medicine Independence, OhioOhio University PA Program Dublin, OhioUniversity of Cincinna Medical School Cincinna, OhioOhioHealth Marion General Hospital Marion, OhioFirelands Regional Medical Center Sandusky, OhioFirelands Annual Spring Medical Sta Event Sandusky, OhioMariea College PA Program Mariea, OhioGrandview Psychiatric Residency Program Chillicothe, OhioAdena Health System Chillicothe, OhioOhio Dominican University PA Program Columbus, OhioOSU College of Medicine Opiate Panel Columbus, OhioPromedica Deance Regional Hospital Deance, OhioAdena Health System Chillicothe, OhioColumbus Medical Associaon Columbus, OhioUniversity of Mount Union PA Program Alliance, OhioThe Christ Hospital Cincinna, Ohio Ohio Dominican University PA Program Columbus, OhioMercy Health St. Anne Hospital Toledo, OhioOhioHealth Dublin Methodist Hospital Dublin, Ohio

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12The members of the Ohio Medical Associaon Coalion (MAC) would like to congratulate the Ohio Physicians Health Program (OPHP) on another successful year dedicated to improving the health and wellness of physicians. The MAC is proud to support the programs and services of OPHP. They have been working for decades to help physicians and other healthcare professionals cope with stress, burnout, substance use disorders, and other behavioral health problems. Through consultaon, intervenon, counseling and ongoing monitoring, OPHP provides a helping hand for physicians who are struggling with health and wellness issues, including behavioral and psychiatric concerns, to get their lives back on track and connue to provide the safest and highest quality care for paents in Ohio.The State Medical Board of Ohio oers a condenal program, known as the “One-Bite” Program, which gives physicians an opportunity to come out of the shadows of addicon and seek the treatment they need to get healthy and nd a path to meaningful, long-term recovery. MAC members fully support OPHP’s approval by the State to serve as the monitoring organizaon responsible for determining whether a praconer is eligible to parcipate in the One-Bite Program and for conducng the One-Bite Program. No other organizaon in Ohio has more experience in protecng paent safety through mely intervenon with healthcare professionals than OPHP.It is with great honor that we commend and thank OPHP for its connued work and dedicaon in supporng and improving the health of Ohio’s physicians.Sincerely,A Word from Ohio’s Medical Associaon CoalionTodd Baker, Chief Execuve Ocer Ohio State Medical AssociaonElayne R. Biddlestone, EVP/CEOThe Academy of Medicine of Cleveland & Northern OhioRobert Falcone, M.D., C.E.O. Columbus Medical AssociaonLaura L. Tiberi, Execuve DirectorOhio Chapter, American College of Emergency PhysiciansMa Harney, MBA, Execuve DirectorOhio Osteopathic AssociaonAnn Spicer, Execuve Vice-PresidentOhio Academy of Family PhysiciansMike Mathy, CAE, Execuve DirectorOhio Foot and Ankle Medical Associaon Melissa Wervey Arnold, C.E.O.American Academy of Pediatrics, Ohio Chapter

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14Greg HassPresident, Ohio Veterinary Medical AssociaonOur highest goal as doctors, whether we treat people or animals, is to provide our paents with the best care possible so they are able to enjoy the best and healthiest life possible. Though this is inarguably a noble goal, it is missing one key component: Caring for ourselves.Too oen, we forget to pracce self-care—or, worse, we ignore our wellbeing completely, cing a lack of me, energy, or movaon. Somemes, we even feel selsh for merely thinking of sacricing our paents’ health for our own. But in doing so, we are sacricing our paents—and ourselves. Aer all, how can we take care of others if we don’t take care of ourselves rst?As President of the Ohio Veterinary Medical Associaon, I invite you to join me in pledging to change this harmful behavior, right here and now. Make a commitment to caring for your own health rst, and take it as seriously as you do your commitment to your paents. And when you need help, don’t be afraid to ask for it. We are fortunate to have a strong support system in the Ohio Physicians Health Program, one that is ready to lend a hand at a moment’s noce, no quesons asked. All you have to do is reach out and take it.A 1992 graduate of The Ohio State University College of Veterinary Medicine, Dr. Greg Hass is a faculty instructor at the University of Findlay, where in addion to teaching, he provides care for the horses in the University’s equestrian programs. His professional interests include equine reproducon and broodmare pracce, and he serves on the Large Animal Praconer Advisory Board at OSU. In his free me, Dr. Hass enjoys boang and shing on Lake Erie.Brandy Spaulding Execuve Director,Ohio State Chiropracc AssociaonThe Ohio State Chiropracc Associaon is proud to add our organizaon to the long list of endorsements for the Ohio Physicians Health Program. We are thankful that they provide support and resources to all those charged with the care and health of our state. Dr. Brandy Spaulding is the Execuve Director of the Ohio State Chiropracc Associaon. Support from the Medical Community

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15Mark S. Wenzel, DDS Chairman, The Ohio Dental Associaon Subcouncil on Densts Concerned for DenstsThe Ohio Dental Associaon through its Subcouncil on Densts Concerned for Densts (DCD) has worked closely with the Ohio Physicians Health Program for over 20 years. The mission of DCD is to help dental professionals with alcohol and/or substance abuse issues navigate the journey through assessment, treatment, aercare and monitoring to aain and maintain a life of sobriety. The Ohio Physicians Health Program has been a steady partner with us toward this goal.The Ohio Physicians Health Program has served as an advocate and monitor for dental health care professionals who are working a program of recovery. We are blessed in Ohio to have such an advocate for recovering health care providers.Mark Wenzel is the DDS Chairman of the ODA’s Subcouncil on Densts Concerned for Densts (DCD).Elizabeth Muckley, OD, FAAOPresident, Ohio Optometric AssociaonOn behalf of the 1,300 member optometrists of the Ohio Optometric Associaon (OOA), I thank the Ohio Physicians Health Program (OPHP) for its connuous eorts to assist Ohio health care professionals dealing with mental health issues and substance abuse. The OOA was grateful to have the OPHP to help guide our members through the mental challenges and anxiety that arose from the COVID-19 pandemic.The OOA is proud to connue its partnership with the OPHP as it provides resources and intervenon through treatment, monitoring and recovery services. We appreciate the OPHP’s commitment to paent safety and look forward to the organizaon’s connued success.Dr. Elizabeth Muckley, OD, FAAO is the Director of Optometric Services at Northeast Ohio Eye Surgeons located in Akron, Kent, and Stow Ohio. She is an Assistant Clinical Professor of Optometry at The Ohio State University College of Optometry, and current President of the Ohio Optometric Associaon. Support from the Medical Community

OhioPHP 2019 Annual Report

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